Federal inspection record · CMS data as of October 1, 2026
Leisure Village Health Care Center
2154 South 85th East Avenue, Tulsa, OK · (918) 622-4747
- Certified beds
- 117
- Residents per day
- 86
- Ownership
- For-Profit
- Chain
- Mgm Healthcare
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- July 1, 1995
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Oklahoma.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Oklahoma homes
Leisure Village Health Care Center carries 120 inspection points. That is fewer than 10% of Oklahoma's 281 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Oklahoma: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–14 pts
- 4★ 14–36 pts
- 3★ 36–55 pts
- 2★ 55–95 pts
- 1★ over 95 pts
Bars show every rated home in Oklahoma by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
43 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care11E
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- E
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Resident Rights8F
- E
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- E
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- F
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- E
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Nutrition and Dietary6F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
- E
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Pharmacy Service6E
- D
Ensure medication error rates are not 5 percent or greater.
- E
Ensure medication error rates are not 5 percent or greater.
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- E
Ensure medication error rates are not 5 percent or greater.
Infection Control5F
- F
Provide and implement an infection prevention and control program.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- E
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Nursing and Physician Services3E
- D
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
- D
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Freedom from Abuse, Neglect, and Exploitation3E
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Respond appropriately to all alleged violations.
- E
Protect each resident from the wrongful use of the resident's belongings or money.
Resident Assessment and Care Planning1D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspection history
2026-06-12
16 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Rights (5 deficiencies)
2024-08-23
9 health deficiencies · 0 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2023-07-20
18 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 43 min of nursing staff time a day, 10 min of it from a registered nurse.
This home
3 h 43 min
Oklahoma average
3 h 49 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 67% of nursing staff and 0% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$0 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-06-19 | Payment Denial · 7 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.7 pts worse | 2.9 | 2.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts better | 2.3 | 2.8 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine36.9 pts worse | 54.4% | 91.3% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine17.3 pts worse | 77.4% | 94.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.2 pts better | 1.6% | 4.8% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.5 pts worse | 6.9% | 3.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.1 pts better | 1.1% | 3.2% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.3 pts worse | 33.3% | 26.0% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3 pts better | 14.8% | 17.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened8.9 pts better | 4.1% | 13.0% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased9.3 pts better | 4.3% | 13.6% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.7 pts better | 0.0% | 1.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.7 pts better | 0.0% | 2.7% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.1 pts worse | 17.5% | 16.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.8 pts better | 3.9% | 4.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine57.1 pts worse | 19.4% | 76.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit6.3 pts better | 9.4% | 15.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.8 pts better | 0.0% | 1.8% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine50.9 pts worse | 23.7% | 74.6% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.1 pts worse | 27.9% | 26.8% | 23.4% |
·
Who owns and runs it
3 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Jeremias, Baruch | 5% Or Greater Direct Ownership Interest · Individual | 50% | 25 facilities |
| Mls Acquisition LLC | 5% Or Greater Direct Ownership Interest · Organization | 5% | 6 facilities |
| Fitch, Stephen | W-2 Managing Employee · Individual | 0% | 1 facilities |
·
Fire safety
3 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3F
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- E
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
- E
Install corridor and hallway doors that block smoke.
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Other homes nearby
-
Tulsa Nursing Center
Tulsa, OK · Stonegate Senior Living
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 24 min
- Fines
- $0
-
Emerald Care Center Tulsa
Tulsa, OK · Emerald Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 37 min
- Fines
- $41,324
-
Gracewood Health & Rehab
Tulsa, OK · Bradford Montgomery · Abuse icon
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 58 min
- Fines
- $0